Healthcare Provider Details
I. General information
NPI: 1790944841
Provider Name (Legal Business Name): RUTH ELIZABETH HURD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/04/2008
Last Update Date: 10/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 REDDICK RD
ASHEVILLE NC
28805-2717
US
IV. Provider business mailing address
PO BOX 19113
ASHEVILLE NC
28815-1113
US
V. Phone/Fax
- Phone: 828-298-0186
- Fax: 828-298-4870
- Phone: 828-298-0186
- Fax: 828-298-4870
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | C006043 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: